Preterm Newborn's Behavioral Responses During Feeding With Gastric Tube

N/ANot Yet RecruitingNCT06634329

University Hospital, Strasbourg, France50 enrolled

Overview

Preterm infants need aims of a tube named oral or naso gastric to grow until they acquire autonomy in suction-swallowing. In fact, several modes feed by a gastric tube exist : using an electric syringe pump (continuous administration), or manual and individualization administration. In this second case, milk can be delivered by gravity, depending on the height the syringe is placed above the infant, or by manually pushing on the syringe. Milk can be administrated by nurses or by the parents after a learning period. In this observational study, we would like to compare the preterm infants' behavioral during these different naso or oro gastric feeding modes by observing well-being signs and withdrawal signs (Dsilna grid) on video settings.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Premature Birth

Interventions

Oro or Nasogastric tube feedingOTHER

Parental involvement in their premature baby's feeding

Eligibility

Medical Language ↔ Plain English

Inclusion Criteria: * Hospitalized at the University Hospitals of Strasbourg during October 2024 and October 2025 * Needing nasogastric tube feeding during at least 4 days * With parents (legal representants) having expressed their agreement with the use of video recording in the framework of the current study Exclusion Criteria: * ORL malformations * Neurological dysfunction * Sedated infant

Outcomes

Primary Outcomes

Comparing the tolerance of these different types of food (gravity versus pushing the seringue), based on the child's behavioral and physiological signs of well-being.

Observation of preterm infants during and after naso/oro gastric tube feeding on videos to record well-being and withdrawal signs like classified in the Dsilna grid every 4 minutes.

Time frame: 6 months

Secondary Outcomes

- Well-being and withdrawal signs by the Dsilna grid : comparison of manual methods versus electric syringe administration

Comparaison of the score of withdrawal or well being tube in this different situation. Survey to assess the feelings and experiences about feeding, filled by caregivers and parents.

Time frame: 6 monts

- Well-being and withdrawal signs by the Dsilna grid : comparison during administration by parents or nurses